02-101310City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: HOLMES ,\
Project Address: 33406 33RD SW
Mechanical Permit #:02 -101310 - 00 - ME
Project Description: MECH - Remove/replace GAS water heater
Inspection request line: 253.835.3050
Parcel Number: 954280 0700
Owner
Applicant
Contractor
Douglas G Holmes
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
33406 33RD PL SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2753
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES September 25, 2002, IF NO WORK IS STARTED.
Permit issued on March 29, 2002
I heretpy certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:
Mechanical rough -in:
Date: �/ G G% /i/ Z
Gas pipe:
FINAL MECHANICAL:
Date:
Date:
Date:—
REC
COMMUNITY DEVELOPMENTEVEDFPAR _
IMPLICATION NUMBER — . — —
MAR 2 9 2002 ------ ---
"The following is required information - Please print (in ink) or type" 694739
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 33406 33 PL SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAXIPARCEL #: 9542800700
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJ ECT NAME: HOLMES, CHUCK
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: HOLMES, CHUCK DAYTIME PHONE:
(253)952-4180
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, ZIP):
33406 33 PL SW FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> ity> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR{
E DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA (3 PRIVATE (WELL) ,
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CON
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
GAS PIPE OUTLET(S)
SINKS)
INTERCEPTORS)
SUMP(S)
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CVO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
EM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) _GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHERS)
RAIN WATER SYS.
DRINKING FOUNTAIN(S) SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
INTERCEPTORS)
SUMP(S)
'DISCLAIMER/SIGNATURE 13LC
URINALS) I WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC tj GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
`urther, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
�urther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
nvestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
:'ederal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
)f the information suoolied to the citv as a Dart of this application.
NAME/TITLE. '''' �'"'' Permit Mgr DATE: 03/25/2002
❑ PROPERLY OWNER ❑ APPLICANT $j CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
D TENANTDIPROVEMENT
CENSUSCODE:
LOTSIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CVO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
EM